神经危重症患者的血压处理 BloodpressuremanagementintheneurocriticalcarepatientsINTRODUCTIONThecausesofacutehypertensioninavarietyofbraininjuryparadigmsTheeffectsofhypertensiononthecerebralvasculatureThemanagementofacutelyelevatedbloodpressureinneurologicdiseaseCerebrovascularphysiologyCBF=CPP/CVRCPP=MAP-ICPCerebralHaemodynamicsAUTOREGULATIONZONESystemicBloodPressure/MAPCerebralAutoregulation…40140CerebralhyperperfusionCerebralBloodFlowAdaptedfrom:Rogers(1996)-651AUTOREGULATIONZONEAUTOREGULATIONZONESystemicBloodPressure/MAPCerebralDYS-Autoregulation…40140CerebralhyperperfusionCerebralBloodFlowAdaptedfrom:Rogers(1996)-651DYS-AUTOREGULATIONHypertensioninacutebraininsultPresenceofchronichypertensionSuspectedIICPAgeEtiologyofhemorrhageMultipleinjuryTimesinceonsetPain,anxiety,withdrawalmedicationsandcertainillicitdrugs伤后5h,GCS13伤后6天,GCS12分伤后第7天,GCS4-5分Case伤后14天,GCS12分伤后21天出院随访MRI
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